Pansystolic Tricuspid Regurgitation May Be Associated with Patent Foramen Ovale in Healthy Young Adults

2016 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Hasan KADI ◽  
Birol ÖZKAN ◽  
Eyüp AVCI ◽  
Taha GÜRBÜZER ◽  
Tarık YILDIRIM
Keyword(s):  
Young Adults ◽  
Tricuspid Regurgitation ◽  
Patent Foramen Ovale ◽  
Foramen Ovale

scholarly journals Severe primary tricuspid regurgitation with large tunnel-shaped patent foramen ovale

Heart Asia ◽  
2012 ◽  
Vol 4 (1) ◽  
pp. 67-68
Author(s):  
Behdad Bahadorian ◽  
Majid Maleki ◽  
Anoushiravan Vakili-Zarch ◽  
Zahra Alizadeh-Sani
Keyword(s):  
Tricuspid Regurgitation ◽  
Patent Foramen Ovale ◽  
Foramen Ovale ◽  
Large Tunnel

scholarly journals Stepwise Progression of Right-to-Left Atrial Shunting through a Combination of Patent Foramen Ovale and Tricuspid Regurgitation

2016 ◽  
Vol 43 (2) ◽  
pp. 171-174
Author(s):  
Evan P. Kransdorf ◽  
Lisa N. Kransdorf ◽  
F. David Fortuin ◽  
John P. Sweeney ◽  
Susan Wilansky
Keyword(s):  
Tricuspid Regurgitation ◽  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Right Atrial ◽  
Foramen Ovale ◽  
Severe Tricuspid Regurgitation ◽  
Occluder Device ◽  
Clinically Significant ◽  
Ischemic Attack ◽  
Common Clinical Finding

Patent foramen ovale is a common clinical finding that generally becomes a concern in the presence of transient ischemic attack or stroke. Rarely, patent foramen ovale is associated with hypoxemia in the presence of substantial right-to-left atrial shunting. We present the case of an 86-year-old woman with a pacemaker, who was initially asymptomatic notwithstanding a patent foramen ovale. Over 1.5 years, her symptoms progressed in a stepwise fashion, in the setting of progressive pacemaker-associated tricuspid regurgitation. Ultimately, the patient's symptoms and her hypoxemia resolved after percutaneous closure of her patent foramen ovale with use of a 25-mm “Cribriform” occluder device. This case highlights the fact that clinically significant right-to-left shunting requires an anatomic lesion, such as patent foramen ovale, together with elevated right atrial pressure, which in this case was contributed by severe tricuspid regurgitation.

Cardiac aetiology

2018 ◽  
Author(s):  
Guillaume Turc ◽  
David Calvet ◽  
Jean-Louis Mas
Keyword(s):  
Myocardial Infarction ◽  
Young Adults ◽  
Ischaemic Stroke ◽  
Patent Foramen Ovale ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Recurrence Risk ◽  
Congenital Heart Diseases ◽  
Foramen Ovale ◽  
Valvular Heart Diseases

Cardiac aetiology accounts for approximately 20% of strokes in young adults. Although atrial fibrillation is a leading cause of stroke in the general population, it is uncommon in young adults. In such patients, more diverse causes of ischaemic stroke are observed, including valvular heart diseases, infective endocarditis, Libman–Sacks endocarditis, dilated cardiomyopathies, congenital heart diseases, myocardial infarction, and intracardiac tumours. Patent foramen ovale is commonly observed in young adults with ischaemic stroke, but this association may be incidental in a sizeable proportion of patients. Young adults who are the most likely to have a stroke-related patent foramen ovale are also those with the lowest recurrence risk.

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